- Homecare service
Archived: Blakehill Healthcare Bristol
Assessment report published 1 July 2025
Contents
Ratings
Our view of the service
Date of Assessment: 28 April 2025 to 16 May 2025. The service is a care at home service providing personal care and treatment of disease, disorder and injury to children aged 13 or over and adults living in their own home. The service was not providing support to anyone living in supported living services at the time of the inspection. The service supports people with a variety of care needs including those living with dementia, people requiring support with mental health, physical disabilities, sensory impairment, learning disabilities or autism, drug and alcohol misuse and people living with an eating disorder. At the time of the inspection the service was supporting 28 people. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is to help with tasks related to personal hygiene and eating. This inspection was prompted by risks about the service. At the last inspection the service was rated good. At this inspection the service is rated requires improvement. We found 3 breaches of regulation related to safe care and treatment, good governance and notification of incidents.
The provider lacked effective governance systems to ensure it delivered high quality and safe care. Areas found at this inspection had not been identified for development and improvement. Recording and systems in use did not support a learning culture where risks were mitigated and information shared as required. People did not always receive their medicines safely. The provider’s management of safeguarding concerns, risks to people, incidents and accidents did not ensure improvements to people’s care experience.The provider did not have a proactive and positive culture of safety. They did not always investigate or report safety events. Lessons were not learnt to continually identify and embed good practice. People were supported by staff who were familiar to them. Although some people and their relative’s fed back about the timeliness and duration of their care visits. Staff had access to personal protective equipment and knew how to raise concerns. Staff were supported by an induction to the service, supervision and regular training.
We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.
We have asked the provider for an action plan in response to the breaches of regulation found at this assessment.
People's experience of this service
People and their relatives told us they felt safe. One person said, “They meet all my care needs.” People said staff were kind and caring. One person said, “The carers are pleasant, wonderful.” We received feedback that whilst care calls were reliable, the timing and the duration of the call was not always adhered to. One person said, “They have never missed a call.” Relatives said, “There are a few issues concerning the way the carers rush off” and “For instance, they are due at 9.30am but didn’t come until 10.10am.” There was mixed feedback around staff training. A person said, “Staff are well trained.” Whilst a relative explained how staff were not confident in a particular area of care delivery. Relatives said communication could be improved to enhance the person’s experience and ensure people were involved in making choices through the care delivery. People and relatives told us they felt comfortable raising concerns. A relative said, “I feel confident that any outstanding issues will be resolved.” People told us staff wore personal protective equipment (PPE) as appropriate and were respectful to them and their homes. A person said, “They do wear PPE and the carers are respectful.”